# DRS MAHER MAHDI & SAMI DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stockton Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912696303
- **Authorized official:** DR. AMAR MAHDI DDS (OWNER)
- **Authorized official phone:** (505) 615-4998

## Contact information

- **Practice address:** 702 PORTER AVE STE F, STOCKTON, CA 95207-4297
- **Practice address phone:** (505) 615-4998
- **Mailing address:** 702 PORTER AVE STE F, STOCKTON, CA 95207-4297
- **Mailing address phone:** (505) 615-4998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2023
- **Last updated:** 05/02/2023
